Sleepiness, near-misses and driving accidents among a representative population of French drivers
Sleepiness, near-misses and driving accidents among a representative population of French drivers
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DOI：
10.1111/j.1365-2869.2009.00818.x
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发表时间：
2010-12-01
影响因子：
4.4
通讯作者：
Philip, Pierre
中科院分区：
文献类型：
--
作者：
Sagaspe, Patricia;Taillard, Jacques;Philip, Pierre
研究的目的是确定困倦驾驶事故的发生率，并探讨与法国险些发生的驾驶事故和实际发生的驾驶事故相关的因素。对法国司机的代表性样本进行了基于电话访谈的流行病学调查。问卷包括社会人口统计学、驾驶和睡眠障碍项目以及埃普沃思嗜睡量表。4774名司机（回复率：86%），28%的人在开车时至少经历过一次严重的困倦（即要求停止驾驶）; 11%的司机报告在过去一年至少有一次险些发生事故（46%与睡眠有关）; 5.8%的司机报告至少有一次事故，其中5.2%与睡眠有关（法国每年估计有9万起与睡眠有关的事故）。睡眠驾驶事故发生在城市（53.8%），短途（84.6%）和白天（84.6%）。使用逻辑回归分析，未遂事件的最佳预测因素是过去一年中至少发生一次严重嗜睡[比值比（OR）6.50，95%置信区间（CI）5.20 - 8.12，P <0.001]。事故的最佳预测因素是年轻（18 - 30岁; OR 2.13，95% CI，1.51 - 3.00，P <0.001）和至少有一次驾驶时严重嗜睡（OR 2.03，95% CI，1.57 - 2.64，P <0.001）。开车时的困倦是与年龄一样重要的交通事故风险因素。险些发生的事故与驾驶时的困倦高度相关，应被视为未来事故的强烈警告信号。
P>Study objectives were to determine the prevalence of sleepy driving accidents and to explore the factors associated with near-miss driving accidents and actual driving accidents in France. An epidemiological survey based on telephone interviews was conducted on a representative sample of French drivers. The questionnaire included sociodemographics, driving and sleep disorder items, and the Epworth sleepiness scale. Of 4774 drivers (response rate: 86%), 28% experienced at least one episode of severe sleepiness at the wheel (i.e. requiring to stop driving) in the previous year; 11% of drivers reported at least one near-miss accident in the previous year (46% sleep-related); 5.8% of drivers reported at least one accident, 5.2% of these being sleep related (an estimate of 90 000 sleep-related accidents per year in France). Sleepy driving accidents occurred more often in the city (53.8%), during short trips (84.6%) and during the day (84.6%). Using logistic regression, the best predictive factor for near-misses was the occurrence of at least one episode of severe sleepiness at the wheel in the past year [odds ratio (OR) 6.50, 95% confidence interval (CI), 5.20-8.12, P < 0.001]. The best predictive factors for accidents were being young (18-30 years; OR 2.13, 95% CI, 1.51-3.00, P < 0.001) and experiencing at least one episode of severe sleepiness at the wheel (OR 2.03, 95% CI, 1.57-2.64, P < 0.001). Sleepiness at the wheel is a risk factor as important as age for traffic accidents. Near-misses are highly correlated to sleepiness at the wheel and should be considered as strong warning signals for future accidents.